LIND ALUMNI RESERVATION
LIND ALUMNI BANQUET

RESERVATION DEADLINE April 25, 2017

Year ________        Name ______________________________________________________

                Maiden Name _______________________________________________

Year ________        Name ______________________________________________________

Non-Alumni Spouse OR Guest Name __________________________________________________

MAILING ADDRESS:      Change?  (Yes)     (No)

ADDRESS        ________________________________________________________________

CITY, STATE & ZIP+4    ___________________________________________________________

E-MAIL ADDRESS:     Change? (Yes)  (No) _____________________________________________ 

Circle items being paid:
2017 Dues Enclosed

$10.00 - 1 Alumnus

$20.00 - 2 Alumni    Banquet Reservations Enclosed

$22.50  - One Dinner

$45.00  - Two Dinners

    Scholarship Fund

$________________

Association Costs

$________________

Total Enclosed $________________

Please make check payable to: Lind Alumni Association, PO Box 444, Lind, WA 99341-0444

Note: If you have a food allergy (nuts, wheat, etc.) please let us know on your reservation so we can advise the caterer.

Name tags and programs may be picked up at the entrance to the gym.
Yes, I would volunteer my services as a Board Member (Yes ) (No )
I wish to continue supporting the Scholarship Fund for students residing in Lind School Dist.  (Yes ) (No )
I wish to help defray costs of the Alumni Association   (Yes ) (No )
(stamps, envelopes, printing, etc.)
Yes, I will volunteer to help with the setup on the 5th and 6th of May.  (Yes ) (No )


Yes, I would like to volunteer my services as a Board Member   (Yes ) (No )
I wish to continue supporting the Scholarship Fund for students residing in Lind School Dist.  (Yes ) (No )
I wish to help defray costs of the Alumni Association   (Yes ) (No )
(stamps, envelopes, printing, etc.)
Yes, I will volunteer to help with the setup on the 5th and 6th of May.  (Yes  ) (No )





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